Individual
MRS. LESLIE HENDRIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
86 N KAYLEE CIRCLE, IDAHO FALLS, ID 83402
(208) 964-3696
Mailing address
86 N KAYLEE CIRCLE, IDAHO FALLS, ID 83402
(208) 964-3696
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-682
ID
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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